PLASTIC NEUTRALITY IN DIALYSIS CARE: 'WASTE TO WELLNESS' MODEL WITH PLASTOCONCRETE PLASTIC CREDIT EXCHANGE

 

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https://storage.unitedwebnetwork.com/files/1099/ef67ef1918f4013eaa44dffc05874c2f.pdf
PLASTIC NEUTRALITY IN DIALYSIS CARE: 'WASTE TO WELLNESS' MODEL WITH PLASTOCONCRETE PLASTIC CREDIT EXCHANGE

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Ravichandran
Palani
Ravichandran Palani ravirekha@hotmail.com Venkateswaraa Medical College Nephrology Chennai India *
Chakradhar Arepalli arepalli.chakri@gmail.com saveetha medical college Nephrology chennai India -
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Green Nephrology (GN) aims to reduce the environmental impact of kidney care, addressing carbon emissions and plastic waste (PW). Although plastic neutrality (PN)— removal and recycling of an equivalent amount of plastic used—is a vital sustainability strategy, it currently lacks established guidelines and widespread discussion within dialysis care settings. This prospective study aimed to pilot a scalable PN model for dialysis providers. Model was to convert PW into value-added Plastoconcrete (PC) products for exhibition at major medical meetings to generate funds, which were then used for essential patient care

The project utilized a "Waste to Wellness" model, integrating patients into the circular economy. Products like planters and utility items were created using a proprietary PC method, which incorporates repurposed PW into concrete cement.

Over a two-year prospective study, these products were displayed at national and local nephrology meetings piggy backed over pharmaceutical sponsors. The plastic credits generated from the sponsors' acquisition of the products were directly exchanged for essential anemia management medications (intravenous iron and erythropoietin) for economically vulnerable dialysis patients. Data collected included qualitative feedback from nephrology delegates and quantitative data on patient benefits received

1000 kg of PW was successfully converted into tangible products Fig 1. Conversion cost  and tangible making were $1,000 USD and $500 USD, respectively, yielding 2,000 plastic credit points. The subsequent exchange of 1,000 points with pharmaceutical sponsors generated $3,000 USD Table 1.

These funds were equivalent to covering IV iron and erythropoietin for 25 needy patients for a period of three months. The total cost for the medication was $1,500 USD ($800 for IV Iron Ferricarboxy Maltose and $700 for Inj Erythropoietin) Table 2. The project resulted in a balance of $1,500 USD worth of credit, confirming its financial sustainability.

Qualitative feedback from nephrologist delegates highlighted a concern over the lack of discussion of plastic neutrality in existing GN forums and questions about the legal framework for large-scale clinical adoption

This study proves a novel, scalable, and self-sustaining "Waste to Wellness" model that integrates plastic neutrality into clinical nephrology, simultaneously promoting environmental sustainability and patient wellness. Future work must establish industry-wide Plastic Neutrality Guidelines based on this framework

Kewords